View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Practicum Participant Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Yes Yes Fillable Fileable

Health Health Care Services

 

381 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 381 0 0 0 0 0
Annual IC Time Burden (Hours) 159 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Practicum Survey Invitation Screen Shot_03202012 05/01/2012
Fast Track Template ODS Survey Request for Approval _ March_ 20_ 2012 05/01/2012
Word Version ODS_Practicum Eval_Final Survey_03202012 05/01/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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